form5500lookup

Form 5500 · Employee benefit plan · EULESS, TX

MILLER SIERRA CONTRACTORS, INC.

The filing calls this plan MILLER SIERRA CONTRACTORS, INC. WELFARE BENEFIT PLAN.

MILLER SIERRA CONTRACTORS, INC. of EULESS, TX is a 121-participant manufacturing employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through BLUECROSS BLUESHIELD OF TEXAS and 1 other carrier. The plan's most recent policy period ended in December.

Benefits broker of record
Policy year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 75-2550289 · plan 501 · plan year 2025, filed May 18, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
121
Active at start of year
121
Active at end of year
137
Disclosed commissions
$115,037
Typical renewal
January 1

Benefits declared on this filing

Healthinsured — BLUECROSS BLUESHIELD OF TEXAS175 of 121 participants
Dentalinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY415 of 121 participants
Visioninsured — UNITED OF OMAHA LIFE INSURANCE COMPANY415 of 121 participants
Lifeinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY415 of 121 participants
Disabilityinsured — UNITED OF OMAHA LIFE INSURANCE COMPANY415 of 121 participants

Also declared: death benefits.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with BLUECROSS BLUESHIELD OF TEXAS, covers 175 people.

Reported premium across the insured contracts is $1,568,458, with $115,037 in disclosed broker commissions — about 7.3% of premium.

The most recent policy period ended in December, and the plan year ends December 31. Group contracts typically renew on that annual cycle.

USI INSURANCE SERVICES LLC is the broker of record on all 2 contracts.

Two carriers split the book: BLUECROSS BLUESHIELD OF TEXAS and UNITED OF OMAHA LIFE INSURANCE COMPANY.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
BLUECROSS BLUESHIELD OF TEXASHealth175Jan 1, 2026$1,272,849$73,100
UNITED OF OMAHA LIFE INSURANCE COMPANYDental, Vision, Life, Disability415Jan 1, 2026$295,609$41,937

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
MILLER SIERRA CONTRACTORS, INC.
EIN 75-2550289

The plan administrator is from line 3a of the main form. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 520 employees, 5 recordable cases, 66 days away from work.

EmployeesThe company's own average for the year
520
Hours worked
1,185,076
Recordable cases
5
Days away from work
66

Source: OSHA Injury Tracking Application establishment data, 2025.

Other plans filed by this employer

How this plan compares

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